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psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - Physicians' views of interventions to reduce medical
errors: does evidence of effectiveness matter?
August 3, 2009
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors:
does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/42973/psn-pdf
January 01, 2015 - Patient safety climate (PSC) perceptions of frontline staff
in acute care hospitals: examining the role of ease of
reporting, unit norms of openness, and participative
leadership.
December 19, 2014
Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of frontline staff in
acute care …
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psnet.ahrq.gov/node/50368/psn-pdf
September 25, 2019 - A patient and family reporting system for perceived
ambulatory note mistakes: experience at 3 U.S. healthcare
centers.
September 25, 2019
Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory
note mistakes: experience at 3 U.S. healthcare centers. J Am Med Inform As…
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - Three teams participated in the 2-year pilot program, each serving two practice sites.
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psnet.ahrq.gov/node/40410/psn-pdf
May 11, 2011 - Evaluation of the role of the critical care pharmacist in
identifying and avoiding or minimizing significant
drug–drug interactions in medical intensive care patients.
May 11, 2011
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or
minimizing significant drug-dru…
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psnet.ahrq.gov/node/44477/psn-pdf
October 14, 2015 - Field test of the World Health Organization Multi-
professional Patient Safety Curriculum Guide.
October 14, 2015
Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient
Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1371/journal.pone.0138510.
http…
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psnet.ahrq.gov/node/35783/psn-pdf
July 10, 2008 - Role of pharmacist counseling in preventing adverse drug
events after hospitalization.
July 10, 2008
Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug
events after hospitalization. Arch Intern Med. 2006;166(5):565-571.
https://psnet.ahrq.gov/issue/role-pharmacist-…
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
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psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
August 02, 2016 - Study
Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada.
Citation Text:
Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…
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psnet.ahrq.gov/issue/frequency-and-types-patient-reported-errors-electronic-health-record-ambulatory-care-notes
June 05, 2019 - Study
Classic
Frequency and types of patient-reported errors in electronic health record ambulatory care notes.
Citation Text:
Bell SK, Delbanco T, Elmore JG, et al. Frequency and types of patient-reported errors in electronic health record ambulatory care notes…
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psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
July 01, 2020 - Study
Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.
Citation Text:
Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. A…
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - The LifePoint National Quality Program Provides
Structured Framework for Reducing Inpatient Harm
January 5, 2021
https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-
reducing-inpatient-harm
Summary
Building on the company’s experience as a Hospital Engagement Network…
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psnet.ahrq.gov/node/48139/psn-pdf
July 17, 2019 - 'Poking the skunk': ethical and medico-legal concerns in
research about patients' experiences of medical injury.
July 17, 2019
Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about
patients' experiences of medical injury. Bioethics. 2019;33(8):948-957. doi:10.1111/bi…
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psnet.ahrq.gov/periodic-issue/periodic-issue-431
March 27, 2024 - In this study, 20 multidisciplinary teams participated in in situ simulations of a tracheostomy emergency
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psnet.ahrq.gov/node/35434/psn-pdf
June 14, 2011 - Turning the medical gaze in upon itself: root cause
analysis and the investigation of clinical error.
June 14, 2011
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the
investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
…
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Simulation based teamwork training for emergency
department staff: does it improve clinical team
performance when added to an existing didactic
teamwork curriculum?
April 6, 2011
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department
staff: does it improve clinical team…
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psnet.ahrq.gov/node/36455/psn-pdf
December 22, 2010 - Changing the work environment in ICUs to achieve
patient-focused care: the time has come.
December 22, 2010
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time
has come. Chest. 2006;130(5):1571-8.
https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…
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psnet.ahrq.gov/issue/speak-video-series
November 27, 2018 - Audiovisual
Speak Up Video Series.
Citation Text:
Speak Up Video Series. Oakbrook Terrace, IL: Joint Commission.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
October 01, 2012 - wounds, an occlusive dressing must be in place before and during competition
In this case, the patient participated